Individual provider Active NPI

Natasha Jacobs Lowery, PA

  • Physician Assistant
  • Whiteville, NC
National Provider Identifier
1508079476
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104003 Issued in NC
Practice address
732 Davis Ave
Whiteville, NC 28472-6002
Phone
(910) 207-6597
Fax
(910) 207-6599
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 104003 NC
Physician Assistant 363A00000X 104003 NC Primary

Addresses

Primary practice location

732 Davis Ave
Whiteville, NC 28472-6002

Mailing address

12745 Rosindale Rd
Lake Waccamaw, NC 28450-9722
Phone (910) 827-1044

Other practice location 1

612 Jefferson St
Suite 32
Whiteville, NC 28472-3708
Phone (910) 642-6452

Other names 1

  • Natasha Faye Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000143 NC Practitioner - Physician Assistant 0042399081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Behavioral Healthcare IncGroup PAC ID 3779771316, 9 clinicians

Practice addresses (Care Compare)

732 Davis Ave
Whiteville, NC 28472-6002
Phone (910) 640-1038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Medical Services, PLLC Physician Assistant PastSince Apr 20, 2016 Accepting new patients
Advantage Behavioral Healthcare Inc. PastSince Oct 17, 2006 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1508079476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 ROSINDALE RD",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284509722",
            "telephone_number": "910-827-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 DAVIS AVE",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284726002",
            "telephone_number": "910-207-6597",
            "fax_number": "910-207-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Jefferson St",
            "address_2": "Suite 32",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723708",
            "country_code": "US",
            "telephone_number": "910-642-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "NATASHA",
        "middle_name": "JACOBS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NC",
            "license": "104003",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "JACOBS",
            "middle_name": "FAYE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.